<form method="post" action="{$thisPageUrl}">
<fieldset><legend>{$lang.profile_legend}</legend>
	{$profile_intelliform_seed}
	{$fc_email}
	{$fc_password}
	{$fc_newPassword}
	{$fc_business_name}
	{$fc_first_name}
	{$fc_last_name}
	{$fc_dob}
	{$fc_sex}
	{$fc_country}
	{$fc_city}
	{$fc_address}
	{$fc_subscribe}
	<div class="component">
		<label>&nbsp;</label>
		<input type="submit" value="{$lang.submit}"/>
	</div>
</fieldset>
</form>